Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.
Rev Lat Am Enfermagem. 2021 Jan 8;29:e3400. doi: 10.1590/1518-8345.3355.3400. eCollection 2021.
to analyze in the scientific literature the evidence on nasogastric/nasoenteric tube related adverse events in adult patients.
integrative literature review through the search of publications in journals indexed in PubMed/MEDLINE, CINAHL, LILACS, EMBASE and Scopus, and hand searching, was undertaken up to April 2017.
the sample consisted of 69 primary studies, mainly in English and published in the USA and UK. They were divided in two main categories and subcategories: the first category refers to Mechanical Adverse Events (respiratory complications; esophageal or pharyngeal complications; tube obstruction; intestinal perforation; intracranial perforation and unplanned tube removal) and the second alludes to Others (pressure injury related to fixation and misconnections). Death was reported in 16 articles.
nasogastric/nasoenteric tube related adverse events are relatively common and the majority involved respiratory harm that resulted in increased hospitalization and/or death. The results may contribute to healthcare professionals, especially nurses, to develop an evidence-based guideline for insertion and correct positioning of bedside enteral tubes in adult patients.
在科学文献中分析成人患者经鼻胃/肠管相关不良事件的证据。
通过检索 PubMed/MEDLINE、CINAHL、LILACS、EMBASE 和 Scopus 等期刊中的出版物，并进行手工检索，对截至 2017 年 4 月的文献进行了综合文献回顾。
样本包括 69 项主要研究，主要为英文，发表于美国和英国。这些研究分为两个主要类别和子类：第一类是机械不良事件（呼吸并发症；食管或咽并发症；管腔阻塞；肠穿孔；颅内穿孔和计划外的管移除），第二类是其他（与固定和连接错误相关的压疮）。有 16 篇文章报道了死亡事件。
经鼻胃/肠管相关不良事件较为常见，大多数涉及呼吸损伤，导致住院时间延长和/或死亡。研究结果可能有助于医疗保健专业人员，特别是护士，为成人患者制定床边肠内管插入和正确定位的基于证据的指南。
